Individual
MRS. VIVIAN E CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
RES. LA CEIBA BLQ.9 APTO. 84, PONCE, PR 00731
(787) 365-1652
(787) 284-1167
Mailing address
RES. LA CEIBA BLQ.9 APTO. 84, PONCE, PR 00731
(787) 365-1652
(787) 284-1167
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3710
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3913179
ELECTORAL
PR
Enumeration date
03/12/2007
Last updated
07/08/2007
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